A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

Report new-onset muscle weakness

Increase consumption of apples and broccoli

Avoid salt substitutes

Report falls, due to high risk of osteoporosis

Answer and Explanation

The Correct Answer is A

A. Report new-onset muscle weakness: Hypokalemia can cause muscle weakness, cramps, and fatigue, which are important symptoms that need to be monitored. Reporting these symptoms promptly is crucial because severe hypokalemia can lead to life-threatening complications, such as respiratory failure or cardiac arrhythmias.

B. Increase consumption of apples and broccoli: While fruits and vegetables like apples and broccoli are healthy, they are not particularly high in potassium. The client should be encouraged to consume potassium-rich foods such as bananas, oranges, potatoes, and spinach to help correct hypokalemia.

C. Avoid salt substitutes: Some salt substitutes contain potassium chloride, which can actually help increase potassium levels. However, this option might be recommended in certain conditions where potassium levels need to be carefully controlled, such as in renal failure, not in hypokalemia management.

D. Report falls, due to high risk of osteoporosis: Hypokalemia does not directly increase the risk of osteoporosis. Falls may occur due to muscle weakness, but this is not specifically related to osteoporosis. Therefore, reporting falls is not the primary concern in hypokalemia.

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Correct Answer is D

Explanation

A. Oral antibiotics: Antibiotics are not indicated for allergic rhinitis, as it is an allergic condition rather than an infection.
B. Oral decongestants: While decongestants can provide temporary relief from nasal congestion, they can also cause rebound congestion if used for prolonged periods.
C. Nasal saline irrigation: Nasal saline irrigation can help to clear out mucus and allergens but is not a primary treatment for allergic rhinitis.
D. Intranasal corticosteroids: Intranasal corticosteroids are the most effective treatment for allergic rhinitis, as they reduce inflammation in the nasal passages and help to alleviate symptoms.

A. Fever B. Weight loss C. Fatigue D. Shortness of breath

Correct Answer is D

Explanation

A. Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.

B. Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.

C. Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.

D. Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.

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A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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